RN Concept-Based Assessment Level 2 Online
Practice B | Questions and Verified Answers|
100% Correct| Grade A
Save
Terms in this set (110)
,A nurse is caring for a client who Observe the client perform incentive spirometry
has pneumonia. Which of the
following actions is the priority for When using the airway, breathing, and circulation
the nurse to take? framework, the priority action the nurse should
-Monitor intake and output take is to observe the client perform incentive
-Provide teaching about antibiotic spirometry. Incentive spirometry improves gas
therapy exchange and oxygenation and stimulates
-Administer the influenza vaccine coughing, which assists in clearing secretions.
-Observe the client perform
incentive spirometry
,A nurse is assessing a client who has The client reports sleeping longer during the
hyperthyroidism and has been night
taking methimazole for 6 months.
Which of the following findings The nurse should recognize that insomnia is a
indicates a therapeutic response to manifestation of hyperthyroidism. The client's
the medication ability to sleep longer during the night indicates a
-The client's skin is warm and moist therapeutic response to the medication.
-The client reports sleeping longer
during the night
-The client is experiencing
increased bowel movements
-The client's weight is 1.4 kg (3.1 lb)
less than baseline
, A nurse is planning discharge Monitor the site daily for drainage
teaching for the guardian of a child
who had a cardiac catheterization. The nurse should instruct the guardian to monitor
Which of the following instructions the site daily for manifestations of infection, such
should the nurse include? as drainage, redness, and swelling. The guardian
-Monitor the site daily for drainage should report these findings to the provider.
-Leave the pressure dressing on the
48 hr
-Administer aspirin if the child
reports pain
-Resume tub baths in 24hr
Practice B | Questions and Verified Answers|
100% Correct| Grade A
Save
Terms in this set (110)
,A nurse is caring for a client who Observe the client perform incentive spirometry
has pneumonia. Which of the
following actions is the priority for When using the airway, breathing, and circulation
the nurse to take? framework, the priority action the nurse should
-Monitor intake and output take is to observe the client perform incentive
-Provide teaching about antibiotic spirometry. Incentive spirometry improves gas
therapy exchange and oxygenation and stimulates
-Administer the influenza vaccine coughing, which assists in clearing secretions.
-Observe the client perform
incentive spirometry
,A nurse is assessing a client who has The client reports sleeping longer during the
hyperthyroidism and has been night
taking methimazole for 6 months.
Which of the following findings The nurse should recognize that insomnia is a
indicates a therapeutic response to manifestation of hyperthyroidism. The client's
the medication ability to sleep longer during the night indicates a
-The client's skin is warm and moist therapeutic response to the medication.
-The client reports sleeping longer
during the night
-The client is experiencing
increased bowel movements
-The client's weight is 1.4 kg (3.1 lb)
less than baseline
, A nurse is planning discharge Monitor the site daily for drainage
teaching for the guardian of a child
who had a cardiac catheterization. The nurse should instruct the guardian to monitor
Which of the following instructions the site daily for manifestations of infection, such
should the nurse include? as drainage, redness, and swelling. The guardian
-Monitor the site daily for drainage should report these findings to the provider.
-Leave the pressure dressing on the
48 hr
-Administer aspirin if the child
reports pain
-Resume tub baths in 24hr
